HOMELESS INITIATIVE GRANT AGREEMENTCITY OF CLEARWATER
HOMELESS INITIATIVE GRANT AG EMENT
This Homeless Initiative Grant Agreement (this "Agreeme t") is made as of this te
day off -d Jt / , 2026 by and between the City of Clearwater, orida, a Florida municipal
corporation (the "City") and Pinellas Opportunity Council, Inc., a lorida not-for-profit
corporation (the "Recipient" and collectively with the City the "P. 'es").
WITNESSETH:
WHEREAS, in 2012, the City of Clearwater (the "City")
through the joint efforts of the City Manager's office, Dr. Robert Mar
development manager, which created funding for local homeless se
and
WHEREAS, approved organizations are required to serve
as individuals and families who are homeless; persons who are at
or families fleeing domestic violence, human trafficking or similar c
risk of housing instability, including households with income bele
Median Income ("AMI"), or below fifty percent (50%) of AMI if 1
being "at risk of homelessness"; or veterans or veteran families wl
categories; and
aunched its homeless initiative
ut, and the previous community
ice providers (the "Program");
qualifying populations" defined
sk of homelessness; individuals
rcumstances; persons at greatest
w thirty percent (30%) of Area
hey meet the federal criteria for
�o fall into any of the foregoing
WHEREAS, grant funds shall be used to support program se ces and activities that provide
direct assistance to qualifying populations; prevent homelessness b stabilizing at -risk households;
expand access to emergency shelter, transitional housing, or suppo ive services; or address barriers
to stable housing such as case management, employment assistanc-, or supportive health services;
and
WHEREAS, qualifying populations served through the use +f these funds are required to be
residents of the City of Clearwater.
NOW, THEREFORE, in consideration of the mutual pro ses and covenants contained
herein, the Parties hereby agree as follows:
I. GENERAL
1. Recitals. The foregoing recitals are true and correct and a - incorporated herein and form
a part of this Agreement.
2. Purpose of Agreement. The purpose of this Agreement s to provide grant funding for
homeless prevention as further detailed in the Recipient's funding application (the "Services").
3. Term. This Agreement shall be in effect for thirteen (1 ) months from the date of its
execution (the "Term").
1
II. RECIPIENT'S WARRANTIES AND RESPONSIBIILITIES
1. Reporting. The Recipient shall use the grant funds in accordance with their funding'
application and the Program, the terms of which are ince orated herein as a part, of this
Agreement. The Recipient shall produce five (5) reports uring Fiscal Year 2025-2026.
The first report will be due on April 22, 2026, the secon report will be due on July 22,
2026, the third report will be due on October 22, 2026, d the final quarterly report will
be due on January 22, 2027. The annual report will be due January 22, 2027.
a. Each report will include information for the preced g 3 months of each quarter.
b. The recipient shall report on the following data, a well as anythingelse it deems
necessary, utilizing the reporting form provided by the City:
i. Total number of homeless individuals and/ families assisted during each
time period;
Total number of homeless individuals an or families from Clearwater
assisted during each time period;
iii. Total number of homeless individuals houseduring each time period;
iv. Total number of homeless individuals fromClearwater housed during, each
time period;
v. Documented street outreach efforts. e.g., loc: tions at which homeless persons
are engaged (feedings, encampments, etc.);
vi. Total number of homeless individuals an ' families with - children from
Clearwater placed in hotels/shelters during e. ch time period;
vii. Average length of stay at a shelter during eac s time period;
viii. Number of referrals from the Clearwater Ho eless Street Outreach Team;
ix. Total number of Veterans assisted during eac time period;
x. Total number of Veterans from Clearwater a•sisted during each time period;
xi. One success story per quarter featuring a ho - less person from Clearwater (if
possible); and
xii. Community events and activities.
ii.
III. GRANT CONDITIONS
1,. Grant Funding. The City shall pay for the Service's eli
amount of five thousand dollars and 00/100 cents ($5,000.
Any costs exceeding the Grant Funds shall be the sole resp
unused funds at time of termination of this Agreement sha
Under no circumstances may the Grant Funds be used f
administration of the Services or to provide a direct benefi
with the Services.
2
ible costs up to a total grant
0) (the "Grant Funds").
nsibility of the Recipient. Any
1 return to the City:
r any purpose other than the
to beneficiariesinconnection
2. Draw Request Process
Draw Request. The Recipient shall be entitled to one (1)
the Term of this Agreement. To request disbursement
complete draw request package to the City, which shall i
a. An invoice itemizing the anticipated costs for which
b. Any supporting documentation reasonably required
expenditures are eligible under the Program.
The City shall review the draw request for compliance
Program requirements. If the draw request is approved, t
Funds within thirty (30) days of receiving a complete and
determines that any portion of the requested amount is ine
may deny that portion of the request and shall notify
Recipient shall have no right to additional draw req
authorized herein.
3. Record Inspection. The City may inspect the Recipient's r
time and upon seven (7) days' notice.
IV. RECIPIENT DEFAULT
1. Event of Default. The occurrence of a breach by the Re
requirement, or warranty of the Program, this Agreement,
any of the exhibits attached hereto shall constitute an even
raw of the Grant Funds during
the Recipient shall submit a:
Jude;
nding is sought; and
y the City to verify that the
with this Agreement and the
e City shall disburse the Grant
ccurate submission: If the City
igible or unsupported, the City
e Recipient in writing: The
ests beyond the Single draw
ords related -to the grant,at any
ipient of any term, condition,
the Recipient's application, or
of default by the Recipient.
2. City Remedy Upon Certain Recipient Default. In the even of a default, the Parties agree
that upon the City giving written notice, that this Agreement shall be null and void and that,
the City will have no further responsibility to the Recipient including the responsibility to
tender any remaining amounts of the Grant Funds to the R cipient. Additionally, the City
shall be entitled to the return of all the Grant Funds pro 'ded to the Recipient. These
remedial provisions shall survive the termination of this Areement.
V. MISCELLANEOUS
1. Notices. All notices, demands, requests for approvals, or other communications given by
either party to another shall be in writing, and shall be ent to the office for each party
indicated below and addressed as follows:
To the Recipient:
Pinellas Opportunity Council,
Inc.
Alonda Vaughan
Director of Administration
501 1st Ave N Suite 517
St. Petersburg, Florida, 33701
To the City:
City of Clearwater
P.O. Box 4748
Clearwater, Florida 3 758
Attention: ED&H Di ector
with copies to:
City of Clearwater
P.O. Box 4748
Clearwater, Florida 3 758
Attention: Clearwate City Attorney's Office
2. Indemnification. The Recipient agrees to assume all inhe
all liability therefore, and shall defend, indemnify, and
City's officers, agents, and employees from and against an
and damages of whatever nature, to persons and property,
generality of the foregoing, death of any person and Moss o
claims arising from the negligence of the City, or the C.
includes, but is not limited to, matters arising out of or cla
in any manner related to the Recipient's activities or those
invitee, contractor, subcontractor, or other person approv
the Recipient whether or not based on negligence. Nothi
consent by the City to be sued by third parties, or as a
provisions or limits of Section 768.28, Florida Statutes,
Immunity.
ent risks of this Agreement and
old harmless the City, and the,
and all claims ofloss, liability
including, without limiting the
the use of any property, except . .
's agents or employees. This
ed to have been caused by or
of any approved or unapproved
d, authorized, or permitted by.
1g herein shall be construed as
waiver or modification of the
or the Doctrine of Sovereign
3. Assignability: Complete Agreement. This Agreement is non -assignable by either party
and constitutes the entire Agreement between the Recipi t and the City and all prior or
contemporaneous oral and written agreements or repre entations of any nature with
reference to the subject of this Agreement are canceled a d superseded by the provisions
of this Agreement.
4. Applicable Law and Construction. The laws of the S : to of Florida shall govern the
validity, performance, and enforcement of this Agreern i t. This Agreement has been•
negotiated by the City and the Recipient, and the Agreeme t, including, without limitation,
the exhibits, shall not be deemed to have been prepared b the City or the Recipient, but
by all equally.
5. Severability. Should any section or part of this Agreeme
unenforceable by any court of law, for any reason, such a
void, invalid, or unenforceable any other section or part of
4
t be rendered void, invalid,, or
determination shall not render
this Agreement,
6. Amendments. This Agreement cannot be changed .r revised except by written
amendment signed by the Parties.
7. Jurisdiction and Venue. For purposes of any suit, action, or other proceeding arising out
of or relating to this Agreement, the Parties do acknowled e, consent, and agree that venue
thereof is Pinellas County, Florida.
Each party to this Agreement hereby submits to the juris
Pinellas County and the courts thereof and to the jurisdict
Court for the Middle District of Florida, for the purpos
proceeding arising out of or relating to this Agreement ani
way of a motion as a defense or otherwise that such actio
forum or that the venue of such action is improper or that
not be enforced in or by such courts.
iction of the State of Florida,
n of the United States District
s of any suit, action, or other
hereby agrees not to assert by
is brought in an inconvenient
the subject matter thereof may
•
If, at any time during the tenu of this Agreement, the Recip ent is not a resident of the State
of Florida or has no office, employee, agency, registered . gent or general partner thereof
available for service of process as a resident of the State of Florida, or if any permitted
assignee thereof shall be a foreign corporation, partnership or other entity or shall have no
officer, employee, agent, or general partner available for s rvice of process. in the State of
Florida, the Recipient hereby designates the Secretary of tate, State of Florida, its agent,
for the service of process in any court action between it and the City arising out of or
relating to this Agreement and such service shall be made as provided by the laws of the
State of Florida for service upon a nonresident; provides, however, that at the time of
service on the Florida Secretary of State, a copy of such, s-rvice shall be delivered to the
Recipient at the address for notices as provided in Section , Paragraph 1.
8. Termination. If not earlier terminated as provided in this A
expire at the end of the Term.
IN WITNESS WHEREOF, the Parties have caused this A
date and year first above written.
5
reement, this Agreement shall
reement to be executed on the
(CITY SIGNATURE PAGE)
THE CITY OF CLE • RWATER, FLORIDA,
a Florida municipal c . rporatio
Approved as to form:
Matthew J. Mytych, Esq.
Assistant City Attorney
Date: Q/3/ a C
By:
6
Jenni
City Manage
Date:
Attest:
Rosemarie Call
Date:
City Clerk
(RECIPIENT SIGNATURE PAG
RECITENT:
Pine11. s Opportunity Council, Inc., a
Floria not-for-profit corporation.
Print ame: Patricia L. lawyer
Title: xecutive Director
Date: o 30. ,
STATE OF FLORIDA )
COUNTY OF PINELLAS )
The foregoing instrument was acknowledged before me by means verhysical presence or. o online
notarization, this .Dday of To,.►k0. , 2026 by cm L. %,kollyjos Vis/are
personally known to me or ❑ who has/have produced a • ver's lice se as identification
(NOTARIAL SEAL)
AaLONDA FELICIA VAUGHAN
Notary Public - State of Florida
NoCommission # HH 358804
'.� My Comm. Expires Feb 6, 2027
Bonded through National Notary Assn.
7
4. V
Notary Public State of Florida
Name of Not. : 4(ot•►do, r.:
My Commiss n Expires: rictt, &I' 2 0 2 r!
My Commiss' . n No.: 414 35 8 &Oct
Exhibit "A"
NO COERCION FOR LABOR OR SERVICES
Pursuant to Section 787.06(13), F.S., this form must be complete
of a nongovernmental entity when a contract is executed, ren
nongovernmental entity and a governmental entity.
Pinellas Opportunity Council, Inc. does not use coercion for labor
787.06, F.S.
Under penalty ofperjury, I declare that I have read the foregoing s
in it are true and correct.
Signatur
Printed Name:
_'_
Pair ICI
Title: Rxecuiive. Plr'tr
Date: 4 3®. 2®2.6
8
TTESTAT1ON
byan officer or representative
wed, or extended between the
r services as defined in Section
atement and that the facts stated
Form W-9
(Rev. March 2024)
Department of the Treasury
Internal Revenue Service
Request for Taxpayer
Identification Number and Certification
Go to www.irs ov/FomtW9 for instructions and the latest information.
g
Live form to the
requester. Do not
send to the IRS.
Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below.
Print or type.
See Specific Instructions on page 3.
1 Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the • ner's name on line 1, and enter the business/disregarded
entity's name on line 2.)
Pinellas Opportunity Council, Inc.
2 Business name/disregarded entity name, if different from above.
3a Check the appropriate box for federal tax classification of the entity/individual whose name is entere. on line 1. Check
only one of the following seven boxes.
• IndividuaVsole proprietor el C corporation • S corporation • Partnership • Trust/estate
• LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) . .
4 Exemptions (codes apply only to ,
certain entities; not individuals;
see instructions on page 3):
Exempt payee code (if any)
Note: Check the "LLC" box above and, In the entry space, enter the appropriate code (C, S, or P) or the tax
classification of the LLC, unless it is a disregarded entity. A disregarded entity should Instead the k the appropriate
box tor the tax classification of its owner.
• Other (see instructions)
Exemption from Foreign Account Tax
Compliance Act (FATCA)reporting
code (if any)
3b If on line 3a you checked "Partnership" or "Trust/estate," or checked 'LLC" and entered "P" as Its t classification,
and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check
this box If you have any foreign partners, owners, or beneficiaries. See instructions •
(APPlies,to accounts State tned
outside the'United States.)
5 Address (number, street, and apt. or stile no.). See instructions. Requester's name and address (optidnal). ,
501 1st Ave N, Ste 517
8 City, state, and ZIP code
St Petersburg, FL 33701
7 List account number(s) here (optional)
Part
1 Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to a id
Social security number
backup withholding. For individuals, this Is generally your social security number (SSN). However, f r a
resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other
entities, it is identification
—
your employer number (EIN). If you do not have a number, see How to g t a or
TIN, later.
Employer identification number
Note: If the account is in more than one name, see the instructions for line 1. See also What Name .nd
Number To Give the Requester for guidelines on whose number to enter.
5
9
—
1
2
2
7
0
5
1
Part 11 Certification
Under penalties of perjury, 1 certify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for number to be issued to me); and
2.1 am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue
Service (iRS) that 1 am subject to backup withholding as a result of a failure to report all interest ,r dividends, or (c) the IRS has notified me that I am
no longer subject to backup withholding: and
3. 1 am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that 1 am exempt from FATCA reporti g is correct.
Certification. instructions. You must cross out itern 2 above if you have been notified by the IRS that ou are currently subject to backup withholding
because you have failed to report all interest and dividends on your tax retum. For real estate transacti , ns, item 2 does not apply. For mortgage interest pald;
acquisition or abandonment of secured property, cancellation of debt, contributions to an individual ret rement arrangement (IRA),and, generally, payments .
other than interest and dividends, you are not required to sign the certification, but you must provide y ur correct TIN. See the instructions for Part II, later.
Sign
signature of •
U.S. person u.�l• t -Aate
° ° 30 • 2 -
/Here
■ tAia v. I IMI.+Yn nIs4iANA
Alun,, line Qh hoc hnun .NA .. -1 i,. Fl.:n Fn..... , p..... a1...............1:a:: ..
Section references are to the Internal Revenue Code unless otherwise
noted.
Future developments. For the latest information about developments
related to Form W-9 and its instructions, such as legislation enacted
atter they were published, go to www.Irs.gov/FormW9.
What's New
Line Sa has been modified to clarify how a disregarded entity completes
this line. An LLC that is a disregarded entity should check the
appropriate box for the tax classification of its owner. Otherwise, it
should check the "LLC" box and enter its appropriate tax classification.
required to complet this line to indicate.that it has direct or indirect
foreign partners, o ers, or beneficiaries when it provides the Form W-9 .
to another flow-thro gh entity in which it has an ownership interest. This
change is intendedo provide a flow-through entity with information -
regarding the status of its indirect foreign partners, owners, or
beneficiaries, so the it can satisfy any applicable reporting
requiremerits. For a ample, a partnership that has any indirect foreign
partners may be reobired to complete Schedules K-2 and K-3. See the
Partnership Instructions for Schedules K-2 and. K-3 (Form 1065).
Purpose of Form -
An individual or entity (Form W-9, requester) who is required to file an.
information return w th the IRS is giving you this form because they
Cat. No. 10231X
Form 1A1-9 (Rev. 3-2024)